2026 NPPES data Cardiovascular Disease Physician NPI 1295846251 M.D.
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Philip Krause, M.D.

Cardiovascular Disease Physician in Skokie, Illinois. This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 24,795 in Cardiovascular Disease Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.

Federal data, no proprietary rating. We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
4K
Medicare Part D claims · 643 beneficiaries · Cardiovascular Disease Physician avg: 3K
Generic prescribing
88%
generic claims · 12% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
93.1/100
▲ 10 pts above national avg 83.1 · Exceptional
Industry payments
$123.74
4 payments · CMS Open Payments (Sunshine Act)
Compiled from official public sources by the PlainDoctor editorial team.

What the federal data shows

Philip Krause, M.D. reported a CMS MIPS final score of 93.1/100 - above the 83.1 national average - and filed 4,241 Medicare Part D claims in 2023.

93.1/100
MIPS score · +10 vs avg
4K
Part D claims, 2023
88%
generic prescribing
Likely
board-certified (heuristic)

Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) - no proprietary rating or editorial opinion is applied.

Philip Krause, M.D.'s MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure

93 Top 29% higher than 71% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). Below this entry. 80–90: 129,887 scored providers (27%). Below this entry. 90+: 189,403 scored providers (40%). This entry sits in this band. This provider 0 100 every MIPS-scored clinician, bucketed by value

Each bar is a band; taller bars hold more scored providers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.

Source CMS Merit-based Incentive Payment System (MIPS) · 2023

Where Philip Krause, M.D. sits

This provider among cardiovascular disease physician peers

Across the 8,753 cardiovascular disease physician providers who report both Medicare Part D prescribing and a MIPS quality score, Philip Krause, M.D. writes more Part D claims than 67% of them and scores higher on MIPS quality than 71% - placing this provider in the high-volume, high-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.

Part D claim volume vs MIPS quality, by specialty percentile

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality0255075100023.146.269.392.4Part D claim volume, percentile in specialtyMIPS quality, percentilePart D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 2Part D claim volume, percentile in specialty: 52 · MIPS quality, percentile: 28Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 58Part D claim volume, percentile in specialty: 20 · MIPS quality, percentile: 57Part D claim volume, percentile in specialty: 92 · MIPS quality, percentile: 38Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 80Part D claim volume, percentile in specialty: 48 · MIPS quality, percentile: 8Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 0Part D claim volume, percentile in specialty: 5 · MIPS quality, percentile: 7Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 88Part D claim volume, percentile in specialty: 60 · MIPS quality, percentile: 12Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 35Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 22Part D claim volume, percentile in specialty: 25 · MIPS quality, percentile: 12Part D claim volume, percentile in specialty: 62 · MIPS quality, percentile: 63Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 40Part D claim volume, percentile in specialty: 40 · MIPS quality, percentile: 60Part D claim volume, percentile in specialty: 42 · MIPS quality, percentile: 48Part D claim volume, percentile in specialty: 75 · MIPS quality, percentile: 68Part D claim volume, percentile in specialty: 58 · MIPS quality, percentile: 72Part D claim volume, percentile in specialty: 87 · MIPS quality, percentile: 85Part D claim volume, percentile in specialty: 33 · MIPS quality, percentile: 25Part D claim volume, percentile in specialty: 12 · MIPS quality, percentile: 83Part D claim volume, percentile in specialty: 43 · MIPS quality, percentile: 73Part D claim volume, percentile in specialty: 97 · MIPS quality, percentile: 12Part D claim volume, percentile in specialty: 15 · MIPS quality, percentile: 50Part D claim volume, percentile in specialty: 38 · MIPS quality, percentile: 10Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 62Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 65Part D claim volume, percentile in specialty: 23 · MIPS quality, percentile: 20Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 67Part D claim volume, percentile in specialty: 57 · MIPS quality, percentile: 27Part D claim volume, percentile in specialty: 30 · MIPS quality, percentile: 77Part D claim volume, percentile in specialty: 80 · MIPS quality, percentile: 33Part D claim volume, percentile in specialty: 7 · MIPS quality, percentile: 43Part D claim volume, percentile in specialty: 32 · MIPS quality, percentile: 88Part D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 3Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 12Part D claim volume, percentile in specialty: 10 · MIPS quality, percentile: 23Part D claim volume, percentile in specialty: 2 · MIPS quality, percentile: 88Part D claim volume, percentile in specialty: 98 · MIPS quality, percentile: 32Part D claim volume, percentile in specialty: 50 · MIPS quality, percentile: 87Part D claim volume, percentile in specialty: 37 · MIPS quality, percentile: 78Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 5Part D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 45Part D claim volume, percentile in specialty: 85 · MIPS quality, percentile: 88Part D claim volume, percentile in specialty: 88 · MIPS quality, percentile: 75Part D claim volume, percentile in specialty: 47 · MIPS quality, percentile: 88Part D claim volume, percentile in specialty: 95 · MIPS quality, percentile: 82Part D claim volume, percentile in specialty: 68 · MIPS quality, percentile: 12Part D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 52Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 55Part D claim volume, percentile in specialty: 83 · MIPS quality, percentile: 53Part D claim volume, percentile in specialty: 65 · MIPS quality, percentile: 88Part D claim volume, percentile in specialty: 22 · MIPS quality, percentile: 88Part D claim volume, percentile in specialty: 27 · MIPS quality, percentile: 47Part D claim volume, percentile in specialty: 67 · MIPS quality, percentile: 37Part D claim volume, percentile in specialty: 78 · MIPS quality, percentile: 42Part D claim volume, percentile in specialty: 77 · MIPS quality, percentile: 88Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 30Philip Krause, M.D.-Part D claim volume, percentile in specialty: 67 · MIPS quality, percentile: 71
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one cardiovascular disease physician peer from a representative sample of 60; the gold marker is Philip Krause, M.D.. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

Board certification likely (heuristic, not verified)

Philip Krause, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 1 hospital affiliation - signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

What does the federal data show about Philip Krause, M.D.?

High performer (top quartile)

NPI registry status

Active

Issued 08/31/2006

NPI 1295846251

Primary specialty

Cardiovascular Disease Physician

Mid-sized

24,795 US NPIs in this specialty

Medicare Part D claims

4,241 40% vs specialty avg

2023 prescription claims

Specialty avg: 3,033

MIPS final score

93.1/100 10 pts vs avg

Exceptional band

vs 83.1 national avg

Specialty distribution in Illinois

How Cardiovascular Disease Physician compares to other specialties among Illinois providers

Illinois providers

Largest specialties in Illinois (% of in-state providers)

Clinical Social Worker - 5.2%Clinical Social Worker5.2%Physical Therapist - 5%Physical Therapist5%Mental Health Counselor - 4.5%Mental Health Counselor4.5%Speech-Language Pathologist - 4.2%Speech-Language Pathologist4.2%Student in an Organized Health Care Education/Training Program - 4.2%Student in an Organized Health Care Education/Training Program4.2%Pharmacist - 4.1%Pharmacist4.1%Cardiovascular Disease Physician - 0.4%Cardiovascular Disease Physician0.4%
Largest specialties in Illinois (% of in-state providers)

Medicare quality performance, MIPS

Philip Krause, M.D.'s 2023 MIPS final score plotted against the Cardiovascular Disease Physician national average

High performer (top quartile)
MIPS Final Score
93.1/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Cardiovascular Disease Physician) - 93.1/100 vs national avg 83.1

0%100%National avg83%93.1%
MIPS final score (Cardiovascular Disease Physician) - 93.1/100 vs national avg 83.1

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

Philip Krause, M.D. appears in the CMS NPPES registry as a Cardiovascular Disease Physician provider holding M.D. credentials at 9650 GROSS POINT RD STE 4900, Skokie, IL, 60076, with a listed phone of (847) 676-1333. NPI 1295846251 was issued on 08/31/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what Krause most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 4,241 prescription claims written by this provider, covering 643 Medicare beneficiaries and totaling roughly $585K in drug spend, split 12% brand-name and 88% generic by claim count. These figures capture only Medicare Part D, commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 93.1/100 for the 2023 performance year (Quality 80.8), compared with the national average of 83.1.

Cardiovascular Disease Physician is a mid-sized specialty nationwide, with 24,795 enrolled providers across 54 states and an average of 3,033 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist, always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

9650 GROSS POINT RD STE 4900
Skokie, IL 60076

Provider Details

NPI 1295846251
Specialty Cardiovascular Disease Physician
Credentials M.D.
Gender Male
NPI Issued 08/31/2006

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

93.0872
Final Score
Avg: 83.1
80.7919
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where Philip Krause, M.D. bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" - a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

Endeavor Health Medical Group
Evanston, IL

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Industry payments received (2024) - CMS Open Payments transparency data

The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for Philip Krause, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$124

Largest payer

Boehringer Ingelheim Pharmaceuticals, Inc.

Most common payment type

Food and Beverage

Industry payments are not necessarily indicators of bias, they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.

License & disciplinary context - Illinois IDFPR 2023 annual report

Aggregate state board data only, NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~42K Illinois medical licensees in 2023 - they are NOT specific to Philip Krause, M.D.. To verify Philip Krause, M.D.'s current license status, search the IDFPR public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

106
Total board actions, Illinois 2023
Across 103 cases
2.52
Actions per 1,000 licensees
Illinois statewide rate
probation
Most common action type
38 cases

IDFPR publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Illinois disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Typical

Philip Krause, M.D. - brand share 12.0%
Cardiovascular Disease Physician average

12% brand-name claims vs 88% generic, on 4,241 2023 Medicare Part D claims.

The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

4,241
Total Claims
$585K
Total Drug Cost
643
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
11,002
Total Day Supply
328,559
Brand vs Generic
12% brand / 88% generic
Brand Drug Cost
$508K
Generic Drug Cost
$77K
Antibiotic Claims
17

Patient Demographics

Average Patient Age
78.0 years
Avg HCC Risk Score
1.64
Gender Split
49% female / 51% male
Age Distribution
<65: 11, 65-74: 214, 75-84: 278, 85+: 140

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

What Philip Krause, M.D. prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Metoprolol Succinate
459
Atorvastatin Calcium
457
Amlodipine Besylate
256
Metoprolol Tartrate
238
Eliquis
Apixaban
232
Losartan Potassium
210
Clopidogrel
Clopidogrel Bisulfate
202
Furosemide
163
Carvedilol
161
Lisinopril
155

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Cardiovascular Disease Physician Overview

How Philip Krause, M.D. fits within the Cardiovascular Disease Physician landscape nationally.

24,795
Cardiovascular Disease Physician Providers in US
54
States with Cardiovascular Disease Physician
3,033
Avg Claims per Provider

Philip Krause, M.D.'s 4,241 claims are above the specialty average of 3,033.

Nearby Cardiovascular Disease Physician Providers in Illinois

Other clinicians with the same primary specialty enrolled in Illinois, drawn from the same CMS NPPES roster as Krause.

Compare Cardiovascular Disease Physician nationally: see state-by-state distribution →

Before you book an appointment

Use this federal record as your verification checklist, not as a recommendation.

  • Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
  • Check the active license and any disciplinary history with the Illinois medical board, federal registration is not a license check. Credential verification guide
  • Weigh a second option: compare this provider with a nearby Cardiovascular Disease Physician peer on Medicare volume and prescribing patterns. Compare providers

Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.

Frequently Asked Questions

What is Philip Krause, M.D.'s specialty?
Philip Krause, M.D. specializes in Cardiovascular Disease Physician and practices in Skokie, Illinois. Credentials: M.D..
How much does Philip Krause, M.D. prescribe under Medicare Part D?
In 2023, Philip Krause, M.D. wrote 4,241 Medicare Part D claims totaling $585K in drug costs for 643 beneficiaries.
What is Philip Krause, M.D.'s Medicare quality score?
Philip Krause, M.D. has a CMS MIPS Final Score of 93.1/100 (Quality: 80.8). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Philip Krause, M.D. located?
Philip Krause, M.D. is located at 9650 GROSS POINT RD STE 4900, Skokie, IL, 60076. Phone: (847) 676-1333.
What is Philip Krause, M.D.'s NPI number?
Philip Krause, M.D.'s National Provider Identifier (NPI) is 1295846251, issued on 08/31/2006.
Does Philip Krause, M.D. prescribe more brand-name or generic drugs?
Philip Krause, M.D.'s prescribing is 12% brand-name and 88% generic drugs by claim count, with $508K in brand drug costs.
How many Cardiovascular Disease Physician providers are there in the US?
There are 24,795 Cardiovascular Disease Physician providers across 54 states in the US. The average Cardiovascular Disease Physician provider writes 3,033 Medicare Part D claims per year.
What drugs does Philip Krause, M.D. prescribe most often?
Based on 2023 Medicare Part D data, Philip Krause, M.D.'s most frequently prescribed drugs include Metoprolol Succinate, Atorvastatin Calcium, Amlodipine Besylate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Philip Krause, M.D. accept Medicare?
Philip Krause, M.D. appears in CMS Medicare data with 4,241 Part D claims and 643 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Philip Krause, M.D.'s credentials?
Philip Krause, M.D.'s NPI is 1295846251 with credentials M.D.. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Quality Performance
CMS Merit-based Incentive Payment System (MIPS) - 2023 performance year.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology

Compiled from official public sources by the PlainDoctor editorial team.